Basic Information
| Provider Information | |||||||||
| NPI: | 1558335174 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHAPMAN | ||||||||
| FirstName: | ALLA | ||||||||
| MiddleName: | GRIGOREVNA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 HALL DR | ||||||||
| Address2: | AMHERST MEDICAL CENTER | ||||||||
| City: | AMHERST | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010022751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4132568561 | ||||||||
| FaxNumber: | 8666440869 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 HALL DR | ||||||||
| Address2: | AMHERST MEDICAL CENTER | ||||||||
| City: | AMHERST | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010022751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4132568561 | ||||||||
| FaxNumber: | 8666440869 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2006 | ||||||||
| LastUpdateDate: | 10/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD424877 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 233177-1 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 264105 | MA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02581464 | 05 | NY | MEDICAID | CC9269 | 01 | PA | RR MEDICARE GROUP | OTHER | GU039851 | 01 | PA | MEDICARE GROUP | OTHER | CC8362 | 01 | NY | RR MEDICARE GROUP | OTHER | P00199107 | 01 | NY | RR MEDICARE PIN | OTHER | P00413975 | 01 | PA | RR MEDICARE PIN | OTHER |